EP2740432A3 - Cathéter Lasso doté d' électrode à pointe - Google Patents

Cathéter Lasso doté d' électrode à pointe Download PDF

Info

Publication number
EP2740432A3
EP2740432A3 EP13196103.9A EP13196103A EP2740432A3 EP 2740432 A3 EP2740432 A3 EP 2740432A3 EP 13196103 A EP13196103 A EP 13196103A EP 2740432 A3 EP2740432 A3 EP 2740432A3
Authority
EP
European Patent Office
Prior art keywords
end section
tip electrode
probe
sheath
distal opening
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
EP13196103.9A
Other languages
German (de)
English (en)
Other versions
EP2740432A2 (fr
EP2740432B1 (fr
Inventor
Assaf Govari
Andres Claudio Altmann
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Biosense Webster Israel Ltd
Original Assignee
Biosense Webster Israel Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Biosense Webster Israel Ltd filed Critical Biosense Webster Israel Ltd
Publication of EP2740432A2 publication Critical patent/EP2740432A2/fr
Publication of EP2740432A3 publication Critical patent/EP2740432A3/fr
Application granted granted Critical
Publication of EP2740432B1 publication Critical patent/EP2740432B1/fr
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/1206—Generators therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345—Vascular system
    • A61B2018/00351—Heart
    • A61B2018/00357—Endocardium
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577—Ablation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00696—Controlled or regulated parameters
    • A61B2018/00702—Power or energy
    • A61B2018/00708—Power or energy switching the power on or off
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046—Tracking techniques
    • A61B2034/2051—Electromagnetic tracking systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/002—Irrigation

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Plasma & Fusion (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Otolaryngology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Cardiology (AREA)
  • Surgical Instruments (AREA)
EP13196103.9A 2012-12-07 2013-12-06 Cathéter Lasso doté d' électrode à pointe Active EP2740432B1 (fr)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US13/707,974 US9023036B2 (en) 2012-12-07 2012-12-07 Lasso catheter with tip electrode

Publications (3)

Publication Number Publication Date
EP2740432A2 EP2740432A2 (fr) 2014-06-11
EP2740432A3 true EP2740432A3 (fr) 2017-12-27
EP2740432B1 EP2740432B1 (fr) 2019-01-23

Family

ID=49753001

Family Applications (1)

Application Number Title Priority Date Filing Date
EP13196103.9A Active EP2740432B1 (fr) 2012-12-07 2013-12-06 Cathéter Lasso doté d' électrode à pointe

Country Status (7)

Country Link
US (1) US9023036B2 (fr)
EP (1) EP2740432B1 (fr)
JP (1) JP6333545B2 (fr)
CN (1) CN103860264B (fr)
AU (2) AU2013260655B2 (fr)
CA (1) CA2835769C (fr)
IL (1) IL229456A (fr)

Families Citing this family (55)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9539056B2 (en) 2012-03-20 2017-01-10 Biosense Webster (Israel) Ltd. Catheter with multiple irrigated electrodes and a force sensor
EP2882336B1 (fr) 2012-08-09 2019-06-26 University of Iowa Research Foundation Systèmes de cathéter de perforation à travers une structure de tissu
US10098694B2 (en) 2013-04-08 2018-10-16 Apama Medical, Inc. Tissue ablation and monitoring thereof
WO2015103574A1 (fr) 2014-01-06 2015-07-09 Iowa Approach Inc. Appareil et procédés pour ablation de dénervation rénale
EP3139997B1 (fr) 2014-05-07 2018-09-19 Farapulse, Inc. Appareil permettant une ablation tissulaire sélective
EP3142584A1 (fr) 2014-05-16 2017-03-22 Iowa Approach Inc. Méthodes et appareil d'ablation tissulaire à plusieurs cathéters
EP3154463B1 (fr) 2014-06-12 2019-03-27 Farapulse, Inc. Appareil d'ablation transurétrale de tissu rapide et sélective
EP3154464B1 (fr) 2014-06-12 2025-03-12 Boston Scientific Scimed, Inc. Appareil d'ablation de tissu rapide et sélective à l'aide de refroidissement
CN106572842A (zh) * 2014-06-24 2017-04-19 阿帕玛医疗公司 组织消融及其监测
CA2896195A1 (fr) * 2014-07-22 2016-01-22 Biosense Webster (Israel) Ltd. Catheter dote de plusieurs electrodes irriguees et d'un capteur de force
EP3206613B1 (fr) 2014-10-14 2019-07-03 Farapulse, Inc. Appareil pour l'ablation rapide et sûre d'une veine cardiopulmonaire
EP3217904B1 (fr) * 2014-11-14 2021-09-08 Medtronic Ardian Luxembourg S.à.r.l. Cathéters pour la modulation des nerfs en communication avec l'arbre pulmonaire et des systèmes associés
AU2016275556A1 (en) * 2015-06-10 2017-12-14 Cathrx Ltd Double shape catheter
US10660702B2 (en) 2016-01-05 2020-05-26 Farapulse, Inc. Systems, devices, and methods for focal ablation
US10172673B2 (en) 2016-01-05 2019-01-08 Farapulse, Inc. Systems devices, and methods for delivery of pulsed electric field ablative energy to endocardial tissue
US12144541B2 (en) 2016-01-05 2024-11-19 Boston Scientific Scimed, Inc. Systems, apparatuses and methods for delivery of ablative energy to tissue
US10130423B1 (en) 2017-07-06 2018-11-20 Farapulse, Inc. Systems, devices, and methods for focal ablation
US20170189097A1 (en) 2016-01-05 2017-07-06 Iowa Approach Inc. Systems, apparatuses and methods for delivery of ablative energy to tissue
US10905329B2 (en) * 2016-06-09 2021-02-02 Biosense Webster (Israel) Ltd. Multi-function conducting elements for a catheter
EP3471631A4 (fr) 2016-06-16 2020-03-04 Farapulse, Inc. Systèmes, appareils et procédés de distribution de fil de guidage
US10702177B2 (en) * 2016-08-24 2020-07-07 Biosense Webster (Israel) Ltd. Catheter with bipole electrode spacer and related methods
US10898262B2 (en) * 2016-10-25 2021-01-26 Biosense Webster (Israel) Ltd. Catheter distal end made of plastic tube and flexible printed circuit boards
US10959643B2 (en) * 2017-03-27 2021-03-30 Biosense Webster (Israel) Ltd. Sensor for facilitating catheter visualization
US9987081B1 (en) 2017-04-27 2018-06-05 Iowa Approach, Inc. Systems, devices, and methods for signal generation
US10617867B2 (en) 2017-04-28 2020-04-14 Farapulse, Inc. Systems, devices, and methods for delivery of pulsed electric field ablative energy to esophageal tissue
JP7586706B2 (ja) 2017-09-12 2024-11-19 ボストン サイエンティフィック サイムド，インコーポレイテッド 心室フォーカルアブレーションのためのシステム、装置、及び方法
EP3461526A1 (fr) * 2017-09-28 2019-04-03 Koninklijke Philips N.V. Dispositif médical invasif et procédé de fabrication
US10893902B2 (en) * 2017-10-25 2021-01-19 Biosense Webster (Israel) Ltd. Integrated resistive filters in catheter distal end
US12458435B2 (en) * 2018-01-24 2025-11-04 Medtronic Ireland Manufacturing Unlimited Company Multielectrode catheter
EP4275738B1 (fr) 2018-02-08 2025-12-17 Boston Scientific Scimed, Inc. Appareil d'application contrôlée d'une énergie d'ablation à champ électrique pulsé sur un tissu
US11864825B2 (en) * 2018-05-02 2024-01-09 Biosense Webster (Israel) Ltd. Ablation catheter with selective radial energy delivery
US20190336198A1 (en) 2018-05-03 2019-11-07 Farapulse, Inc. Systems, devices, and methods for ablation using surgical clamps
WO2019217317A1 (fr) 2018-05-07 2019-11-14 Farapulse, Inc. Systèmes, appareils et procédés pour filtrer un bruit haute tension induit par une ablation par champ électrique pulsé
EP4410228A3 (fr) 2018-05-07 2024-11-06 Boston Scientific Scimed, Inc. Cathéter d'ablation épicardique
CN115836908A (zh) 2018-05-07 2023-03-24 波士顿科学医学有限公司 用于将消融能量递送到组织的系统、设备和方法
JP7619937B2 (ja) 2018-09-20 2025-01-22 ボストン サイエンティフィック サイムド，インコーポレイテッド 心内膜組織へのパルス電界アブレーションエネルギーの送達のためのシステム、装置、および方法
US11648053B2 (en) * 2018-12-20 2023-05-16 Biosense Webster (Israel) Ltd. Catheter with flex circuit distal assembly
EP3962356B1 (fr) * 2019-05-02 2023-05-24 Intersect ENT International GmbH Support de capteur
EP4321105B1 (fr) * 2019-05-06 2025-10-22 Boston Scientific Scimed, Inc. Systèmes médicaux
US20200397505A1 (en) * 2019-06-19 2020-12-24 Farapulse, Inc. Systems, devices, and methods for focal ablation
US10625080B1 (en) 2019-09-17 2020-04-21 Farapulse, Inc. Systems, apparatuses, and methods for detecting ectopic electrocardiogram signals during pulsed electric field ablation
US12114920B2 (en) * 2019-10-22 2024-10-15 Biosense Webster (Israel) Ltd. Inflatable sleeve multi-electrode catheter
US11065047B2 (en) 2019-11-20 2021-07-20 Farapulse, Inc. Systems, apparatuses, and methods for protecting electronic components from high power noise induced by high voltage pulses
US11497541B2 (en) 2019-11-20 2022-11-15 Boston Scientific Scimed, Inc. Systems, apparatuses, and methods for protecting electronic components from high power noise induced by high voltage pulses
US10842572B1 (en) 2019-11-25 2020-11-24 Farapulse, Inc. Methods, systems, and apparatuses for tracking ablation devices and generating lesion lines
US12310652B2 (en) 2020-07-24 2025-05-27 Boston Scientific Scimed, Inc. Hybrid electroporation ablation catheter
EP4185228A1 (fr) 2020-07-24 2023-05-31 Boston Scientific Scimed Inc. Application de champ électrique pour ablation cardiaque à tir unique par électroporation irréversible
WO2022020591A1 (fr) * 2020-07-24 2022-01-27 Boston Scientific Scimed Inc Cathéter d'ablation par électroporation
US12016612B2 (en) * 2020-08-19 2024-06-25 Acclarent, Inc. ENT ablation instrument with electrode loop
JP7617250B2 (ja) 2020-09-08 2025-01-17 ボストン サイエンティフィック サイムド，インコーポレイテッド パルス電界アブレーションのための輪郭成形電極、ならびにそのシステム、デバイス、および方法
EP4221610A2 (fr) 2020-09-30 2023-08-09 Boston Scientific Scimed Inc. Forme d'onde de traitement préalable d'électroporation irréversible
EP4284276A1 (fr) 2021-01-27 2023-12-06 Boston Scientific Scimed, Inc. Séquences d'impulsions commandées par tension pour ablations irréversibles par électroporation
WO2022204719A1 (fr) * 2021-03-26 2022-09-29 DIXI Neurolab, Inc. Appareil à double ballonnet pour le traitement de la névralgie du trijumeau
CN117653323A (zh) * 2022-08-31 2024-03-08 杭州诺沁医疗器械有限公司 引导组件、消融装置及消融系统
US12484963B2 (en) 2024-04-03 2025-12-02 Field Medical, Inc. Systems and methods for affecting a target tissue via a pulsed field

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6217574B1 (en) * 1998-12-03 2001-04-17 Cordis Webster System and method for measuring subsurface temperature of tissue during ablation
US20080249522A1 (en) * 2007-04-04 2008-10-09 Carlo Pappone Irrigated Catheter with Improved fluid flow
US20100204694A1 (en) * 2007-06-15 2010-08-12 Primaeva Medical, Inc. Devices and methods for percutaneous energy delivery
US20110160719A1 (en) * 2009-12-30 2011-06-30 Assaf Govari Catheter with arcuate end section
EP2554134A1 (fr) * 2011-07-30 2013-02-06 Biosense Webster (Israel), Ltd. Cathéter avec soupape d'équilibrage de flux

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CA2197986C (fr) 1994-08-19 2008-03-18 Shlomo Ben-Haim Diagnostic et traitement medicaux; systemes de visualisation
US6064902A (en) 1998-04-16 2000-05-16 C.R. Bard, Inc. Pulmonary vein ablation catheter
US6622731B2 (en) * 2001-01-11 2003-09-23 Rita Medical Systems, Inc. Bone-treatment instrument and method
US6671533B2 (en) * 2001-10-11 2003-12-30 Irvine Biomedical Inc. System and method for mapping and ablating body tissue of the interior region of the heart
US6973339B2 (en) 2003-07-29 2005-12-06 Biosense, Inc Lasso for pulmonary vein mapping and ablation
US8475450B2 (en) * 2008-12-30 2013-07-02 Biosense Webster, Inc. Dual-purpose lasso catheter with irrigation
US9616199B2 (en) * 2009-12-31 2017-04-11 St. Jude Medical, Atrial Fibrillation Division, Inc. Irrigated catheter employing multi-lumenal irrigation tubing

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6217574B1 (en) * 1998-12-03 2001-04-17 Cordis Webster System and method for measuring subsurface temperature of tissue during ablation
US20080249522A1 (en) * 2007-04-04 2008-10-09 Carlo Pappone Irrigated Catheter with Improved fluid flow
US20100204694A1 (en) * 2007-06-15 2010-08-12 Primaeva Medical, Inc. Devices and methods for percutaneous energy delivery
US20110160719A1 (en) * 2009-12-30 2011-06-30 Assaf Govari Catheter with arcuate end section
EP2554134A1 (fr) * 2011-07-30 2013-02-06 Biosense Webster (Israel), Ltd. Cathéter avec soupape d'équilibrage de flux

Also Published As

Publication number Publication date
EP2740432A2 (fr) 2014-06-11
AU2018204229A1 (en) 2018-09-06
US9023036B2 (en) 2015-05-05
AU2018204229B2 (en) 2020-01-30
US20140163546A1 (en) 2014-06-12
IL229456A (en) 2017-05-29
CN103860264A (zh) 2014-06-18
AU2013260655B2 (en) 2018-07-12
AU2013260655A1 (en) 2014-06-26
EP2740432B1 (fr) 2019-01-23
JP2014113493A (ja) 2014-06-26
JP6333545B2 (ja) 2018-05-30
CN103860264B (zh) 2020-02-21
CA2835769C (fr) 2022-12-06
CA2835769A1 (fr) 2014-06-07

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